Religiosity and Family Functioning as Predictors of Hope and Resilience during the COVID-19 Pandemic among African American and Latinx College Students with Asthma

Rosalie Corona; Robin S. Everhart; Mayra S. Ramos; Katherine D. Lohr; Rachel L. Holder

doi:10.29333/ejecs/1828

Authors

Rosalie Corona Virginia Commonwealth University https://orcid.org/0000-0002-6652-9092
Robin S. Everhart https://orcid.org/0000-0002-6771-5436
Mayra S. Ramos https://orcid.org/0009-0005-8647-5801
Katherine D. Lohr https://orcid.org/0000-0002-5869-8910
Rachel L. Holder https://orcid.org/0000-0003-1985-7461

DOI:

https://doi.org/10.29333/ejecs/1828

Keywords:

COVID-19 pandemic, resilience, hope, religiosity, family functioning, college student, pandemic

Abstract

Being resilient and hopeful in the face of adversity can promote health and academic outcomes. We sought to determine whether religiosity and family functioning pre-pandemic predicted resilience and hope during the pandemic in a sample of 105 African American and Latinx college students with asthma (M_age = 19.09 years, SD = 1.01). Participants completed an online survey prior to the pandemic and one during the pandemic. In simple regressions, controlling for age, race/ethnicity, gender, and asthma control, greater religious commitment, better family functioning, and less COVID-19 impact were associated with higher resilience scores. Only greater religious commitment was associated with higher hope scores. In a hierarchical regression predicting resilience from all variables, religiosity and family functioning were associated with resilience above and beyond COVID-19 impact and covariates. Findings highlight the importance of family functioning and religiosity—two cultural factors that are salient in African American and Latinx communities—in resiliency and hope.

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Author Biographies

Rosalie Corona, Virginia Commonwealth University

Rosalie Corona is a Professor in the Department of Psychology at Virginia Commonwealth University.

Robin S. Everhart

Robin S. Everhart is an Associate Professor in the Department of Psychology at Virginia Commonwealth University.

Mayra S. Ramos

Mayra S. Ramos, Katherine D. Lohr, and Rachel L. Holder are doctoral students in the Clinical Psychology Program in the Department of Psychology at Virginia Commonwealth University.

References

Akeman, E., Kirlic, N., Clausen, A. N., Cosgrove, K. T., McDermott, T. J., Cromer, L. D., Paulus, M. P., Yeh, H.-W., & Aupperle, R. L. (2020). A pragmatic clinical trial examining the impact of a resilience program on college student mental health. Depression and Anxiety, 37(3), 202–213. https://doi.org/10.1002/da.22969 DOI: https://doi.org/10.1002/da.22969

Andrasfay, T., & Goldman, N. (2021). Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations. Proceedings of the National Academy of Sciences, 118(5), Article e2014746118. https://doi.org/10.1073/pnas.2014746118 DOI: https://doi.org/10.1073/pnas.2014746118

Aucejo, E. M., French, J., Araya, M. P. U., & Zafar, B. (2020). The impact of COVID-19 on student experiences and expectations: Evidence from a survey. Journal of Public Economics, 191, Article 104271. https://doi.org/10.1016/j.jpubeco.2020.104271 DOI: https://doi.org/10.1016/j.jpubeco.2020.104271

Bedolla-Barajas, M., Morales-Romero, J., Fonseca-López, J. C., Pulido-Guillén, N. A., Larenas-Linnemann, D., & Hernández-Colín, D. D. (2021). Anxiety and depression in adult patients with asthma: The role of asthma control, obesity and allergic sensitization. Journal of Asthma, 58(8), 1058–1066. https://doi.org/10.1080/02770903.2020.1759087 DOI: https://doi.org/10.1080/02770903.2020.1759087

Belgrave, F. Z., Clark-Goings, T., & Jones, H. A. (2021). African American families: Research, theory, and practice. Cognella, Incorporated.

Bono, G., Reil, K., & Hescox, J. (2020). Stress and wellbeing in urban college students in the US during the COVID-19 pandemic: Can grit and gratitude help? International Journal of Wellbeing, 10(3), 39–57. https://doi.org/10.5502/ijw.v10i3.1331 DOI: https://doi.org/10.5502/ijw.v10i3.1331

Cano, M. Á., Castro, F. G., De La Rosa, M., Amaro, H., Vega, W. A., Sánchez, M., Rojas, P., Ramírez-Ortiz, D., Taskin, T., Prado, G., Schwartz, S. J., Córdova, D., Salas-Wright, C. P., & de Dios, M. A. (2020). Depressive symptoms and resilience among Hispanic emerging adults: Examining the moderating effects of mindfulness, distress tolerance, emotion regulation, family cohesion, and social support. Behavioral Medicine, 46(3-4), 245–257. https://doi.org/10.1080/08964289.2020.1712646 DOI: https://doi.org/10.1080/08964289.2020.1712646

Cauce, A. M., & Domenech-Rodriguez, M. (2002). Latino families: Myths and realities. Latino children and families in the United States: Current research and future directions, 3-25.

Centers for Disease Control. (2021, November). Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html

Cohen, A. K., Hoyt, L. T., & Dull, B. (2020). A descriptive study of COVID-19–related experiences and perspectives of a national sample of college students in spring 2020. Journal of Adolescent Health, 67(3), 369–375. https://doi.org/10.1016/j.jadohealth.2020.06.009 DOI: https://doi.org/10.1016/j.jadohealth.2020.06.009

Copeland, W. E., McGinnis, E., Bai, Y., Adams, Z., Nardone, H., Devadanam, V., Rettew, J., & Hudziak, J.J. (2020). Impact of COVID on college student mental health and wellness. Journal of the American Academy of Child and Adolescent Psychiatry, 60(1), 134–141. https://doi.org/10.1016/j.jaac.2020.08.466 DOI: https://doi.org/10.1016/j.jaac.2020.08.466

Corona, R., Rodríguez, V. M., McDonald, S. E., Velazquez, E., Rodríguez, A., & Fuentes, V. E. (2017). Associations between cultural stressors, cultural values, and Latina/o college students’ mental health. Journal of Youth and Adolescence, 46(1), 63–77. https://doi.org/10.1007/s10964-016-0600-5 DOI: https://doi.org/10.1007/s10964-016-0600-5

Davis, A. N., Carlo, G., & Maiya, S. (2021). Towards a multisystem, strength-based model of social inequities in us Latinx youth. Human Development, 65(4), 204–216. https://doi.org/10.1159/000517920 DOI: https://doi.org/10.1159/000517920

Denckla, C. A., Cicchetti, D., Kubzansky, L. D., Seedat, S., Teicher, M. H., Williams, D. R., & Koenen, K. C. (2020). Psychological resilience: An update on definitions, a critical appraisal, and research recommendations. European Journal of Psychotraumatology, 11(1), Article 1822064. https://doi.org/10.1080/20008198.2020.1822064 DOI: https://doi.org/10.1080/20008198.2020.1822064

Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of Marital and Family Therapy, 9(2), 171–180. https://doi.org/10.1111/j.1752-0606.1983.tb01497.x DOI: https://doi.org/10.1111/j.1752-0606.1983.tb01497.x

Escobar, O. S., & Vaughan, E. L. (2014). Public religiosity, religious importance, and substance use among Latino emerging adults. Substance Use & Misuse, 49(10), 1317–1325. https://doi.org/10.3109/10826084.2014.901384 DOI: https://doi.org/10.3109/10826084.2014.901384

Everhart, R. S., Lohr, K. D., Ramos, M. S., Hernández Dubon, R. E., Heron, K. E., Mazzeo, S. E., & Corona, R. (2023). Perceived stress, religiosity, and substance use among African American and Latinx college students with asthma in the USA. Journal of Religion and Health, 62(2), 1050-1069. https://doi.org/10.1007/s10943-023-01754-2 DOI: https://doi.org/10.1007/s10943-023-01754-2

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/brm.41.4.1149 DOI: https://doi.org/10.3758/BRM.41.4.1149

Fedele, D. A., Mullins, L. L., Eddington, A. R., Ryan, J. L., Junghans, A. N., & Hullmann, S. E. (2009). Health-related quality of life in college students with and without childhood-onset asthma. Journal of Asthma, 46(8), 835–840. DOI: https://doi.org/10.1080/02770900903184229

Ferreira, R. J., Buttell, F., & Cannon, C. (2020). COVID-19: Immediate predictors of individual resilience. Sustainability, 12, Article 6495. https://doi.org/10.3390/su12166495 DOI: https://doi.org/10.3390/su12166495

Garcini, L. M., Domenech Rodríguez, M. M., Mercado, A., Silva, M., Cadenas, G., Galvan, T., & Paris, M. (2023). Anti-immigration policy and mental health: Risk of distress and trauma among deferred action for childhood arrivals recipients in the United States. Psychological Trauma: Theory, Research, Practice, and Policy, 15(7), 1067-1075. https://doi.org/10.1037/tra0001228 DOI: https://doi.org/10.1037/tra0001228

Grasso, D.J., Briggs-Gowan, M.J., Ford, J.D., & Carter, A.S. (2020). The Epidemic – Pandemic Impacts Inventory (EPII). University of Connecticut School of Medicine. https://health.uconn.edu/psychiatry/research/family-adversity-and-resilience-research-program/epii/

Hagiwara, N., Green, T. L., Moreno, O., Smith, D., & Corona, R. (2021). Ethnic discrimination and weight outcomes among Latinx emerging adults: Examinations of an individual-level mediator and cultural moderators. Cultural Diversity and Ethnic Minority Psychology, 27(2), 189–200. https://doi.org/10.1037/cdp0000336 DOI: https://doi.org/10.1037/cdp0000336

Haktanir, A., Watson, J. C., Ermis-Demirtas, H., Karaman, M. A., Freeman, P. D., Kumaran, A., & Streeter, A. (2021). Resilience, academic self-concept, and college adjustment among first-year students. Journal of College Student Retention: Research, Theory & Practice, 23(1), 161–178. https://doi.org/10.1177/1521025118810666 DOI: https://doi.org/10.1177/1521025118810666

Hartley, M. T. (2011). Examining the relationships between resilience, mental health, and academic persistence in undergraduate college students. Journal of American College Health, 59(7), 596–604. https://doi.org/10.1080/07448481.2010.515632 DOI: https://doi.org/10.1080/07448481.2010.515632

Hawkins, D. S. (2022). “After Philando, I had to take a sick day to recover”: Psychological distress, trauma and police brutality in the Black community. Health Communication, 37(9), 1113–1122. https://doi.org/10.1080/10410236.2021.1913838 DOI: https://doi.org/10.1080/10410236.2021.1913838

Hawkins, M. A. W., Clawson, A. H., Smith, C. E., Stout, M. E., Keirns, N. G., & Ruppe, N. M. (2020). Psychological distress and substance use among young adults with comorbid asthma and obesity. Journal of American College Health, 68(8), 914–921. https://doi.org/10.1080/07448481.2019.1643353 DOI: https://doi.org/10.1080/07448481.2019.1643353

Hernandez, R.E., Willis, K.D., Moreno, O., Everhart, R. S., & Corona, R. (2022). Does religious commitment mediate the association between acculturative stress and Latinx young adults’ tobacco use? Journal of Cross-Cultural Psychology, 53(5), 488-502. https://doi.org/10.1177/00220221221093814 DOI: https://doi.org/10.1177/00220221221093814

Herrero, R., Mira, A., Cormo, G., Etchemendy, E., Baños, R., García-Palacios, A., Ebert, D. D., Franke, M., Berger, T., Schaub, M. P., Görlich, D., Jacobi, C., & Botella, C. (2019). An Internet based intervention for improving resilience and coping strategies in university students: Study protocol for a randomized controlled trial. Internet Interventions, 16, 43–51. https://doi.org/10.1016/j.invent.2018.03.005 DOI: https://doi.org/10.1016/j.invent.2018.03.005

Higbee, D. H., Nava, G. W., Kwong, A. S., Dodd, J. W., & Granell, R. (2021). The impact of asthma on mental health and wellbeing during COVID-19 lockdown. European Respiratory Journal, 58(1): 2004497 https://doi.org/10.1183/ 13993003.04497-2020. DOI: https://doi.org/10.1183/13993003.04497-2020

Jones, S. C. T., & Neblett, E. W. (2019). The impact of racism on the mental health of people of color. In M. T. Williams, D. C. Rosen, & J. W. Kanter (Eds.), Eliminating race-based mental health disparities: Promoting equity and culturally responsive care across settings (pp. 79 –98). Context Press.

Killgore, W. D., Taylor, E. C., Cloonan, S. A., & Dailey, N. S. (2020). Psychological resilience during the COVID-19 lockdown. Psychiatry Research, 291, 113216. https://doi.org/10.1016/j.psychres.2020.113216 DOI: https://doi.org/10.1016/j.psychres.2020.113216

Lederer, A. M., Hoban, M. T., Lipson, S. K., Zhou, S., & Eisenberg, D. (2020). More than inconvenienced: The unique needs of US college students during the COVID-19 pandemic. Health Education & Behavior, 48(1), 14–19. https://doi.org/10.1177/1090198120969372 DOI: https://doi.org/10.1177/1090198120969372

Li, F., Luo, S., Mu, W., Li, Y., Ye, L., Zheng, X., Xu, B., Ding, Y., Ling, P., Zhou, M., & Chen, X. (2021). Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic. BMC Psychiatry, 21(1), 1–14. https://doi.org/10.1186/s12888-020-03012-1 DOI: https://doi.org/10.1186/s12888-020-03012-1

Licari, A., Ciprandi, R., Marseglia, G., & Ciprandi, G. (2019). Anxiety and depression in adolescents with asthma and in their parents: A study in clinical practice. Monaldi Archives for Chest Disease, 89(3), 15–19. https://doi.org/10.4081/monaldi.2019.1063 DOI: https://doi.org/10.4081/monaldi.2019.1063

Masten, A. S., Lucke, C. M., Nelson, K. M., & Stallworthy, I. C. (2021). Resilience in development and psychopathology: Multisystem perspectives. Annual Review of Clinical Psychology, 17, 521–549. https://doi.org/10.1146/annurev-clinpsy-081219-120307 DOI: https://doi.org/10.1146/annurev-clinpsy-081219-120307

Miadich, S. A., Everhart, R. S., Greenlee, J., & Winter, M. A. (2020). The impact of cumulative stress on asthma outcomes among urban adolescents. Journal of Adolescence, 80, 254–263. https://doi.org/10.1016/j.adolescence.2019.12.007 DOI: https://doi.org/10.1016/j.adolescence.2019.12.007

Munoz, R. T., Hanks, H., & Hellman, C. M. (2020). Hope and resilience as distinct contributors to psychological flourishing among childhood trauma survivors. Traumatology, 26(2), 177–184. https://doi.org/10.1037/trm0000224 DOI: https://doi.org/10.1037/trm0000224

Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Murray, J. J., & Papadopoulos, N. G., Mathioudakis, A. G., Custovic, A., Deschildre, A., Phipatanakul, W., Wong, G., Xepapdaki, P., Abou-Taam, R., Agache, I., Castro-Rodriguez, J. A., Chen, Z., Cros, P., Dubus, J.-C., El-Sayed, Z. A., El-Owaidy, R., Feleszko, W., Fierro, V., Fiocchi, A., Garcia-Marcos, L., … Zar, H. (2021). Childhood asthma outcomes during the COVID‐19 pandemic: Findings from the PeARL multi‐national cohort. Allergy, 76(6), 1765–1775. https://doi.org/10.1111/all.14787 DOI: https://doi.org/10.1111/all.14787

Paredes, M. R., Apaolaza, V., Fernandez-Robin, C., Hartmann, P., & Yañez-Martinez, D. (2021). The impact of the COVID-19 pandemic on subjective mental well-being: The interplay of perceived threat, future anxiety and resilience. Personality and Individual Differences, 170, Article 110455. https://doi.org/10.1016/j.paid.2020.110455 DOI: https://doi.org/10.1016/j.paid.2020.110455

Pearman, A., Hughes, M. L., Smith, E. L., & Neupert, S. D. (2021). Age differences in risk and resilience factors in COVID-19-related stress. The Journals of Gerontology: Series B, 76(2), e38–e44. https://doi.org/10.1093/geronb/gbaa120 DOI: https://doi.org/10.1093/geronb/gbaa120

Pendergraft, T. B. (2004). Development of the asthma control test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113(1), 59–65. https://doi.org/10.1016/j.jaci.2003.09.008 DOI: https://doi.org/10.1016/j.jaci.2003.09.008

Ramos, M. S., Corona, R., Dempster, K. W., Morton, S. C. M., & Everhart, R. S. (2023). The COVID-19 pandemic: Asthma control, tobacco use, and mental health among African American and Latinx college students. Journal of Asthma, 60(3), 496–507. https://doi.org/10.1080/02770903.2022.2062673 DOI: https://doi.org/10.1080/02770903.2022.2062673

Redline, S., Gruchalla, R. S., Wolf, R. L., Yawn, B. P., Cartar, L., Gan, V., Nathan, P., & Wollan, P. (2004). Development and validation of school-based asthma and allergy screening questionnaires in a 4-city study. Annals of Allergy, Asthma & Immunology, 93(1), 36–48. https://doi.org/10.1016/S1081-1206(10)61445-7 DOI: https://doi.org/10.1016/S1081-1206(10)61445-7

Riehm, K. E., Brenneke, S. G., Adams, L. B., Gilan, D., Lieb, K., Kunzler, A. M., Smail, E. J., Holingue, C., Stuart, E. A., Kalb, L. G., & Thrul, J. (2021). Association between psychological resilience and changes in mental distress during the COVID-19 pandemic. Journal of Affective Disorders, 282, 381–385. https://doi.org/10.1016/j.jad.2020.12.071 DOI: https://doi.org/10.1016/j.jad.2020.12.071

Rodriguez-Diaz, C. E., Guilamo-Ramos, V., Mena, L., Hall, E., Honermann, B., Crowley, J. S., Baral, S., Prado, G. J., Marzan-Rodriguez, M., Beyrer, C., Sullivan, P. S., & Millett, G. A. (2020). Risk for COVID-19 infection and death among Latinos in the United States: Examining heterogeneity in transmission dynamics. Annals of Epidemiology, 52, 46–53. https://doi.org/10.1016/j.annepidem.2020.07.007 DOI: https://doi.org/10.1016/j.annepidem.2020.07.007

Schwalm, F. D., Zandavalli, R. B., de Castro Filho, E. D., & Lucchetti, G. (2022). Is there a relationship between spirituality/religiosity and resilience? A systematic review and meta-analysis of observational studies. Journal of Health Psychology, 27(5), 1218-1232. https://doi.org/10.1177/1359105320984537 DOI: https://doi.org/10.1177/1359105320984537

Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200. https://doi.org/10.1080/10705500802222972 DOI: https://doi.org/10.1080/10705500802222972

Snyder, C. R. (2000). Hypothesis: There is hope. In C. R. Snyder (Ed.), Handbook of hope theory, measures and applications (1st ed., pp. 3–21). Academic Press. DOI: https://doi.org/10.1016/B978-012654050-5/50003-8

Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irvining, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Charyle, L., & Harney, P. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60(4), 570–585. https://doi.org/10.1037/0022-3514.60.4.570 DOI: https://doi.org/10.1037/0022-3514.60.4.570

Staneva, A., Carmignani, F., & Rohde, N. (2022). Personality, gender, and age resilience to the mental health effects of COVID-19. Social Science & Medicine, 301, Article 114884. https://doi.org/10.1016/j.socscimed.2022.114884 DOI: https://doi.org/10.1016/j.socscimed.2022.114884

Taquechel, K., Diwadkar, A. R., Sayed, S., Dudley, J. W., Grundmeier, R. W., Kenyon, C. C., Henrickson, S. E., Himes, B. E., & Hill, D. A. (2020). Pediatric asthma health care utilization, viral testing, and air pollution changes during the COVID-19 pandemic. The Journal of Allergy and Clinical Immunology: In Practice, 8(10), 3378–3387. https://doi.org/10.1016/j.jaip.2020.07.057 DOI: https://doi.org/10.1016/j.jaip.2020.07.057

Thomas, A. L., & Brausch, A. M. (2020). Family and peer support moderates the relationship between distress tolerance and suicide risk in black college students. Journal of American College Health, 70(4), 1138–1145. https://doi.org/10.1080/07448481.2020.1786096 DOI: https://doi.org/10.1080/07448481.2020.1786096

Ungar, M., & Theron, L. (2020). Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry, 7(5), 441–448. https://doi.org/10.1016/S2215-0366(19)30434-1 DOI: https://doi.org/10.1016/S2215-0366(19)30434-1

Verdolini, N., Amoretti, S., Montejo, L., García-Rizo, C., Hogg, B., Mezquida, G., Rabelo-da-Ponte, F. D., Vallespir, C., Radua, J., Martinez-Aran, A., Pacchiarotti, I., Rosa, A. R., Bernardo, M., Vieta, E., Torrent, C., & Solé, B. (2021). Resilience and mental health during the COVID-19 pandemic. Journal of Affective Disorders, 283, 156–164. https://doi.org/10.1016/j.jad.2021.01.055 DOI: https://doi.org/10.1016/j.jad.2021.01.055

Volpe, V. V., Smith, N. A., Skinner, O. D., Lozada, F. T., Hope, E. C., & Del Toro, J. (2022). Centering the heterogeneity of Black adolescents' experiences: Guidance for within‐group designs among African Diasporic communities. Journal of Research on Adolescence, 32, 1298–1311. https://doi.org/10.1111/jora.12742 DOI: https://doi.org/10.1111/jora.12742

Worthington, E. L., Jr., Wade, N. G., Hight, T. L., Ripley, J. S., McCullough, M. E., Berry, J. W., Schmitt, M. M., Berry, J. T., Bursley, K. H., & O’Conner, L. (2003). The religious commitment inventory-10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50(1), 84–96. https://doi.org/10.1037/0022-0167.50.1.84 DOI: https://doi.org/10.1037//0022-0167.50.1.84

Yıldırım, M., & Arslan G. (2020). Exploring the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. Current Psychology. Advance online publication. https:/doi.org/10.1007/s12144-020-01177-2. DOI: https://doi.org/10.31234/osf.io/vpu5q

Yu, M., Tian, F., Cui, Q., & Wu, H. (2021). Prevalence and its associated factors of depressive symptoms among Chinese college students during the COVID-19 pandemic. BMC Psychiatry, 21, Article 66. https://doi/org/10.1186/s12888-021-03066-9 DOI: https://doi.org/10.1186/s12888-021-03066-9

Zhang, M., Zhang, J., Zhang, F., Zhang, L., & Feng, D. (2018). Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: Does gender make a difference? Psychiatry Research, 267, 409–413. https://doi.org/10.1016/j.psychres.2018.06.038 DOI: https://doi.org/10.1016/j.psychres.2018.06.038